| NPI | 1215225420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001772) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-12-11417) |
| 225X00000X Occupational Therapist (Licence: CO 3058) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2025-02-10 |